Individual
MR. JIMMIE WILSON HILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CEO
Contact information
Practice address
554 HALLS CREEK RD, NEW BERN, NC 28560-5722
(252) 745-5761
(252) 745-7750
Mailing address
554 HALLS CREEK RD, NEW BERN, NC 28560-5722
(252) 745-5761
(252) 745-7750
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
MHL-069-006
NC
251S00000X
Community/Behavioral Health Agency
Primary
MHL-069-006
NC
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
MH069-006
NC
385H00000X
Respite Care
MHL-069-006
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3409210
—
NC
Enumeration date
05/17/2007
Last updated
09/11/2025
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